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Morning everyone. Here’s a challenge to start the day. Can you figure out what MCS this patient is receiving by looking at these pipes?? 
You can see the 4 cannulae in this X-ray. The RVAD drainage is from the RA and returns to the PA. The LVAD drains LV apex and returns to ascending aorta. You’ll also notice the lungs look ok and the patient isn’t intubated….. so why the oxygenator in the RVAD…….?
